Healthcare has been at the centre of public service programs by National authorities and NGOs for decades. The technical innovations and the knowledge gained by experts in the eld made healthcare a very advanced modern science. And those advancements made healthcare a demanding industry for insurance companies to be in.

Insurance companies and TPA's often require challenging updates and changes in their software and claim processing infrastructure to cope with the pace of fast forwarding health care industry and healthcare authorities. Smart Health provides Insurance companies and Third Party Administrators with comprehensive support in software and claim processing infrastructure for their healthcare operations. The experience acquired by working with several partners in the industry and the technical expertise helps the Smart Health to continuously improve and perfect itself. Smart Health has the ability to be customised heavily according to the needs of the industry and that makes it one of the most exible systems of its kind.

Solutions that are on offer are:

Smart Health Software Access for managing Medical Claims

• Customized Smart Health Software as required by the client (Insurance Companies or Third Party Administrators)
• Set up various stakeholders within the system, Insurance Company, Branches, Providers, Brokers and Reinsurers
• Set up Medical Service Provider Pricing
• Module to set up Insurance Policy Table of Benefits
• Module for membership management including additions and deletions
• Module for "Pre-Approvals"
• Module for document management control
• Claims processing Module

Paper Claims Processing Platform

• Each claim/invoice bar coded and scanned and made available in Smart Health.
• Utilizing Smart Health software, claims are processed including coding of diagnosis as per ICD standard codes
• System validates each Claim/Invoice by Table of Benefits, Pricing agreed with Providers
• Communication window "Dialog Box" for each claim
• Patient past history, pre-approvals view
• The claims data entry/processing by trained and qualified team of medical claims processors
• The data integrated to Insurance Company/Third Party Administrators' system as per the agreed format

E-Claim Processing Platform

• Set-up Smart E-Claim platform for Insurance Company, its branches, brokers, reinsurers
• Set-up Smart E-Claim platform for Medical Service Providers including pricing agreed
• Set-up Smart E-Claim Platform with all Table of Benefits of various insurance policies
• Module to download XML claims files from central portal
• Module to view downloaded claims and process claims based on the client Table of Benefits and pricing agreed with the medical provider

Smart eClaims is a complete medical insurance claim processing solution for Hospitals, Clinics, Diagnostic Centres and Pharmacies. It is a claims process outsourcing service along with document management services. Experts in Medical coding and claim processing assist Smart eClaim's web-based system. Authorities require medical insurance claims to be uploaded in to their secure system in a very sophisticated format. Smart eClaims provides the claim uploading services after claims processing. The entire process requires great expertise not only in software production but also in data entry, claims management and medical coding. Clients can access claim processing progress and completion report online, real time.

Smart e-claims Software services

• Customized Smart e-claim Software with pricing agreed with various Payers (Insurance Companies, Third Party Administrators and Customers for Self Administered schemes)
• Module for document managementcontrol
• Each claim/invoice bar coded and scanned and made available on the platform
• Utilizing Smart e-claim software, all claims processed including coding of diagnosis as per ICD standard codes
• The claims data entry/processing by trained and qualified team of medical claims processors
• The processed claims made available as per the agreed format and/or in XML format

Smart eMarketing is a comprehensive marketing solution. Smart eMarketing designs marketing strategy considering various parameters such as: resources, internal environment including the marketing mix and the external environment. The design team creates websites and e-Brochures. The components of Smart eMarketing are Email marketing, SMS marketing, copy writing, advertisement design, online banners, website design, social media marketing, search engine optimization and referral marketing. Smart eMarketing measures and sends out the progress of the eMarketing campaign to the clients as frequently as they want it.

Additional features of iNeed eMarketing:

• One stop shop for all online marketing
• Availability of different packages of eMarketing tools
• Access for participating companies to showcase their Products and Services
• Participating Companies are allowed to upload Offers details
• Secure payment gateway option
• Customer feedback/reviews for Private and/or Public view
• A full access to all E-marketing tools

SecureDoc, a unique fool proof Technology for Securing valuable documents such as Educational Certificates issued by Universities, bonds, legal documents, secure ID cards and diamond certificates. ScureDoc is a patented technology from Japan for counterfeit prevention with an unsurpassed, State-of-the-Art & Cost-effective system, using stylus engraving of any kind of image, whether a photograph, a signature, by watermarking. SecureDocsolution provides a secure and authentic solution for certificates, which is tamper proof, has a unique mechanism for identification of issued certificates by the verifying agencies and enable employers, Govt. officials and other verifying agencies to authenticate certificates issued by the Institution using, Unique Naked Eye Inspection method (Standard), Public Key Infrastructure (optional) AND Biometric Information (optional).

Smart Insurance Broker is an online Insurance Broker Management system to manage various functions of an Insurance Broker Business including accounts functions in an efficient and effective manner.

Smart Insurance Broker Platform provides:

• Customized Software with varied chart of accounts that includes various ledgers
• Set up various stakeholders within the system, Insurance Brokers, their branches if any, Insurance Companies, their rates and premiums, Sales Agents, their remuneration structure and Customers
• Complete CRM system from handling enquiries to quotation management and follow up process.
• Sales Management control process
• Policy renewal process
• Complete Accounting module
• Real time reports of enquiries, policies issuedand accounts reports
• Being an online platform, senior management can access information from anywhere in the World